Chifuwa cha chiwindi ndikumeneko komwe kumakhala kovuta kwambiri pa tsamba la parenchyma lomwe limayambitsa matenda a microflora kapena tizilombo toyambitsa matenda. Kuperewera kwa vutoli nthawi zonse kumakhala koyambako, ndiko kuti kumachitika motsutsana ndi zomwe zinawonongeka thupi, kawirikawiri chifukwa cha kachilombo ka magazi. Matendawa ndi ovuta kwambiri, choncho amachiritsidwa yekha m'chipatala, ndipo ngati palibe chithandizo chamankhwala cham'tsogolo chingathe kufa.
Zifukwa za abscess ya chiwindi
Mu mankhwala, abscesses wa chiwindi nthawi zambiri amagawanika kukhala pyogenic ndi amoebic.
Pyogenic abscess pachiwindi
Mtundu uwu wa matendawa ndi wamba kwambiri kwa anthu okalamba kuposa zaka 35. Chinthu chofala kwambiri pa matendawa ndi matenda a biliary (cholangitis kapena acute cholecystitis). Chinthu chachiwiri chomwe chimayambitsa matendawa ndi intraperitoneal infections:
- ulcerative colitis;
- Matenda a Crohn ;
- m'mimba perforation;
- diverticulitis.
N'zotheka kutenganso kachilombo koyambitsa matendawa kuchokera ku malo omwe ali pafupi ndi matendawa kapena ndi sepsis. Pachifukwachi, Staphylococcus aureus ndi hemolytic streptococcus amapezeka nthawi zambiri. Kuwonjezera pamenepo, n'zotheka kukhala ndi vuto lopweteka chiwindi ndi kuyambira kwa hematoma, yomwe imakhala yotentha, komanso ngati chiwindi chimakhudzidwa ndi mphutsi. Kugonjetsa kungakhale kopanda mmodzi kapena angapo.
Amoebic abscess pachiwindi
Chosowa choterechi chimachitika chifukwa cha chizoloŵezi cha amoeba (Entamaeba histolytica), chomwe chimayambira pachiwindi kuchokera ku rectum ndipo chimakhala chovuta kumakhala m'mimba mwa amtima kapena m'mimba. Mtundu uwu wa matendawa umapezeka kawirikawiri mwa achinyamata ndipo, monga lamulo, umayambitsa mapangidwe amodzi a purulent.
Zizindikiro za abscess ya chiwindi
Zizindikiro za matendawa nthawi zambiri zimakhala zosavomerezeka, ndiko kuti, chithunzichi chimatha kufanana ndi matenda akuluakulu a ziwalo:
- chibayo;
- pleurisy;
- matenda a mtima, ndi zina zotero.
Kawirikawiri, mosasamala kanthu za mtundu wa matenda, chifuwa cha chiwindi chimabwera ndi fever ndi kupweteka kwambiri mu hypochondrium yolondola. Chifukwa cha matendawa, chiwindi chimakula, chimapweteketsa pamimba, chiwerengero cha magazi chikuwonjezeka mu chiwerengero cha leukocyte komanso chizoloŵezi cha kuchepa kwa magazi m'thupi .
Odwala omwe ali ndi zofooka zambiri, kusowa kudya, nthawi zambiri kusuta ndi kusanza. Pafupifupi theka la milandu m'masiku oyambirira amadziwika ndi icteric sclera ndi mucous membranes, zomwe zimatha. Odwala ndi amoebic mawonekedwe, kutsekula m'mimba ndi zotsatira za magazi kungakhalenso.
Kuchiza pachifuwa cha chiwindi
Chifuwa cha chiwindi ndi matenda aakulu kwambiri omwe ali ndi chiopsezo chachikulu cha imfa, chomwe chingachiritsidwe kokha kuchipatala, chifukwa chikutanthauza kuvomerezedwa koyenera kuchitapo kanthu.
Chithandizo nthawi zonse chimakhala chovuta komanso chodziwika ndi dokotala, malinga ndi zomwe zimayambitsa matendawa.
Njira yabwino kwambiri lero ndiyo kugwiritsa ntchito mankhwala ophera maantibayotiki kuphatikizapo madzi osakanikirana omwe amatha kutentha poyang'aniridwa ndi ultrasound. Ngati chotupa cha abscess pachiwindi sichingakhale chogwira ntchito, ndiye kuti ntchito yopanda ntchito imapangidwa. Ndi mtundu wa amoebic wa matendawa, opaleshoni siichitidwa mpaka matenda a m'mimba amachotsedwa.
Ngati muli ndi vuto linalake lopanda chiwindi, mutengedwe nthawi yake, zizindikiro zingakhale zabwino. Amachepetsa odwala 90 peresenti, ngakhale mankhwalawa ataliatali kwambiri. Ambiri kapena osakwatiwa, koma osatsanulidwa mu nthawi zopuma, nthawi zambiri amatsogolera ku imfa.